Tumors of the Hand and Wrist

Giant Cell Tumor of the Tendon Shealth

• Generally 3-5 decades
• DIP joint most common
• Firm, tender nodule
• Treatment: marginal surgical excision. High recurrence rate.

Giant Cell Tumor of Bone

• Affects epiphysis: distal radius, metacarpal head.
• Rare instances of metastases.
• High recurrence rate
• Xray: expansile, lytic lesion with indistinct borders.
• Treatment: curretage with bone grafting. Consider polymethacrylate cementation, cryosurgery, cauterization. May require en bloc resection +/- allograft reconstruction / wrist fusion.

Glomus Tumor

• Generally occurs in subungal location.
• Generally c/o hypersensitivity of temperature and exquisite pinpoint tenderness with pain that radiates proximally
• Treatment: Excision. High recurrence rate.

Epidermal Inclusion Cyst

• Generally result from penetrating trauma, trapping epithelial cells in the subcutaneous tissues.
• Firm, mobile, painless.
• Treatment: margninal excision.